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Individual

DR. KAITLYN LENEE NORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
102 E RAVINE RD, KINGSPORT, TN 37660-3814
(423) 220-9958
Mailing address
215 E GILMER PARK, JOHNSON CITY, TN 37604-3890
(423) 220-9958

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
43436
SC
1835P2201X
Ambulatory Care Pharmacist
Primary
46564
TN

Other

Enumeration date
06/20/2022
Last updated
07/24/2024
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